Organization Active NPI

Bryan C Hiller

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laconia, NH
National Provider Identifier
1831337625
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
03583 Issued in NH
Legal business name
BRYAN C HILLER
Practice address
394 Union Ave
Laconia, NH 03246-2812
Phone
(603) 707-4684
NPI assigned
Feb 2, 2009
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bryan Charles Hiller, DMD, MS
Title
Doctore/Owner
Phone
(603) 707-4684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 03583 NH Primary

Addresses

Primary practice location

394 Union Ave
Laconia, NH 03246-2812

Mailing address

394 Union Ave
Laconia, NH 03246-2812
Phone (603) 707-4684

Other identifiers 1

IdentifierTypeStateIssuer
30307060MedicaidNH

National Provider Directory

National Provider Directory

Locations

394 Union Ave
Laconia, NH 03246
Phone (603) 707-4684

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1831337625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 UNION AVE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462812",
            "telephone_number": "603-707-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 UNION AVE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462812",
            "telephone_number": "603-707-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN C HILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTORE/OWNER",
        "authorized_official_telephone_number": "603-707-4684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "03583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30307060",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.